Paradoxical Para-Hisian Pacing Response
Journal of Innovations in Cardiac Rhythm Management, cilt.14, sa.6, ss.5488-5490, 2023 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 14 Sayı: 6
- Basım Tarihi: 2023
- Doi Numarası: 10.19102/icrm.2023.14063
- Dergi Adı: Journal of Innovations in Cardiac Rhythm Management
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.5488-5490
- Anahtar Kelimeler: Atrioventricular re-entrant tachycardia, elecrophysiological maneuvers, para-Hisian pacing
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Para-Hisian pacing (PHP) is among the most useful maneuvers in cardiac electrophysiology during sinus rhythm and identifies whether retrograde conduction is dependent on the atrioventricular (AV) node. In this maneuver, the retrograde activation time and pattern are compared during capture and loss of capture of the His bundle while pacing from a paraHisian position. A common misconception about PHP is that it is useful only for septal accessory pathways (APs). However, even with left or right lateral pathways, as long as pacing from the para-Hisian region conducts to the atrium with the activation sequence being analyzed, it can be used to determine whether that activation is AV node–dependent or AP-dependent.